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Cognitive outcomes of temporal lobe epilepsy surgery in older patients

Thompson, PJ; Baxendale, SA; McEvoy, AW; Duncan, JS; (2015) Cognitive outcomes of temporal lobe epilepsy surgery in older patients. Seizure - European Journal of Epilepsy , 29 pp. 41-45. 10.1016/j.seizure.2015.03.017. Green open access

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Abstract

Purpose: To examine the cognitive risks of temporal lobe surgery in patients aged 50 years and older. / Methods: We analysed data from 55 patients who underwent temporal lobe surgery (26 left-sided:29 right sided) from 1988 to 2012 at our centre. Pre-surgical and one year post-operative memory and naming capacity were compared to data obtained from two younger cohorts; 185 aged 18–30 and 220 aged 31–49. / Results: Pre-operative memory impairments were most marked for the oldest cohort and were associated with a longer duration of epilepsy. Naming capacity improved with age and better performance was associated with a later age at epilepsy onset. Post-operative declines were largest in older patients, achieving statistical significance for verbal memory, naming and subjective ratings. Left temporal lobe resections carried the greatest risk of memory and naming decline. Cognitive outcomes were unrelated to seizure outcome, VIQ or mood. / Conclusion: Our findings indicate the cognitive risks of TLE surgery are greater for older patients. Cognitive outcomes need to be considered when assessing the efficacy of epilepsy surgery in older cohorts and pre-operative performance levels need to be taken into account.

Type: Article
Title: Cognitive outcomes of temporal lobe epilepsy surgery in older patients
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.seizure.2015.03.017
Publisher version: http://dx.doi.org/10.1016/j.seizure.2015.03.017
Language: English
Additional information: This article is published under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International licence (CC BY-NC-ND 4.0). This licence allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licences are available at http://creativecommons.org/licenses/by/4.0.
Keywords: Cognitive outcome, Elderly, Epilepsy surgery, Memory, Temporal lobe epilepsy
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Experimental Epilepsy
URI: https://discovery.ucl.ac.uk/id/eprint/1466691
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